Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Lisa Jacobs-Gourtzelis, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1245391952

Jacqueline Lisa Jacobs-Gourtzelis, MD is a Child & Adolescent Psychiatry Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone: (314) 206-3700
Fax: (314) 206-3708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 2006005280 (MO)

Record details

NPI number1245391952
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESMarch 7, 2023

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